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General NPI Number Information
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NPI Number | 1295094928
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Entity Type | Organization
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Legal Business Name | ARIZONA ONE MEDICAL TRANSPORTATION LLC
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Dates
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Enumeration Date | 05/15/2012
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Last Update Date | 05/15/2012
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Provider Practice Location Address
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Address Line | 1655 E SOUTHERN AVE APT 87
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City | TEMPE
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State | AZ
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Zip | 85282-5628
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Country | US
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Telephone | 855-558-5556
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 27594
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City | TEMPE
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State | AZ
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Zip | 85285-7594
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | ELSEDDIG MUSA
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Credential |
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Telephone | 855-558-5556
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number |
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License Number State |
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